P3 Study Brodalumab in Treatment of Moderate to Severe Plaque Psoriasis (AMAGINE-2)
A Phase 3 Study to Evaluate the Efficacy and Safety of Induction and Maintenance Regimens of Brodalumab Compared With Placebo and Ustekinumab in Subjects With Moderate to Severe Plaque Psoriasis: AMAGINE-2
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Australian Capital Territory
-
Phillip, Australian Capital Territory, Australia, 2606
- Research Site
-
-
New South Wales
-
Kogarah, New South Wales, Australia, 2217
- Research Site
-
-
Queensland
-
Benowa, Queensland, Australia, 4217
- Research Site
-
Gold Coast, Queensland, Australia, 4217
- Research Site
-
Woolloongabba, Queensland, Australia, 4102
- Research Site
-
-
Victoria
-
Box Hill, Victoria, Australia, 3128
- Research Site
-
Carlton, Victoria, Australia, 3053
- Research Site
-
Parkville, Victoria, Australia, 3050
- Research Site
-
-
-
-
-
Graz, Austria, 8036
- Research Site
-
Innsbruck, Austria, 6020
- Research Site
-
Linz, Austria, 4020
- Research Site
-
Wien, Austria, 1130
- Research Site
-
Wien, Austria, 1090
- Research Site
-
Wien, Austria, 1030
- Research Site
-
-
-
-
Alberta
-
Calgary, Alberta, Canada, T3A 2N1
- Research Site
-
Edmonton, Alberta, Canada, T5K 1X3
- Research Site
-
-
British Columbia
-
Surrey, British Columbia, Canada, V3R 6A7
- Research Site
-
Vancouver, British Columbia, Canada, V5Z 3Y1
- Research Site
-
-
Ontario
-
Ajax, Ontario, Canada, L1S 7K8
- Research Site
-
Mississauga, Ontario, Canada, L5H 1G9
- Research Site
-
Oakville, Ontario, Canada, L6J 7W5
- Research Site
-
Ottawa, Ontario, Canada, K2G 6E2
- Research Site
-
Peterborough, Ontario, Canada, K9J 1Z2
- Research Site
-
Sudbury, Ontario, Canada, P3E 1H5
- Research Site
-
Waterloo, Ontario, Canada, N2J 1C4
- Research Site
-
Windsor, Ontario, Canada, N8W 1E6
- Research Site
-
Windsor, Ontario, Canada, N8W 5L7
- Research Site
-
-
Quebec
-
Montreal, Quebec, Canada, H3H 1V4
- Research Site
-
-
-
-
-
Brno, Czechia, 656 91
- Research Site
-
Jihlava, Czechia, 586 33
- Research Site
-
Novy Jicin, Czechia, 741 01
- Research Site
-
Praha 10, Czechia, 100 34
- Research Site
-
Praha 5, Czechia, 150 06
- Research Site
-
Praha 8, Czechia, 180 81
- Research Site
-
Usti nad Labem, Czechia, 401 13
- Research Site
-
-
-
-
-
Amiens Cedex 1, France, 80504
- Research Site
-
Besancon Cedex, France, 25030
- Research Site
-
Brest Cedex, France, 29609
- Research Site
-
Clermont-Ferrand, France, 63000
- Research Site
-
Marseille cedex 05, France, 13385
- Research Site
-
Montpellier cedex 5, France, 34295
- Research Site
-
Paris Cedex 10, France, 75475
- Research Site
-
Pessac Cedex, France, 33604
- Research Site
-
Pierre-Bénite, France, 69495
- Research Site
-
Rouen Cedex, France, 76031
- Research Site
-
-
-
-
-
Budapest, Hungary, 1036
- Research Site
-
Debrecen, Hungary, 4012
- Research Site
-
Kecskemet, Hungary, 6000
- Research Site
-
Miskolc, Hungary, 3529
- Research Site
-
Nyiregyhaza, Hungary, 4400
- Research Site
-
Veszprem, Hungary, 8200
- Research Site
-
-
-
-
-
Amsterdam, Netherlands, 1105 AZ
- Research Site
-
Breda, Netherlands, 4818 CK
- Research Site
-
Nijmegen, Netherlands, 6525 GL
- Research Site
-
Rotterdam, Netherlands, 3015 CA
- Research Site
-
-
-
-
-
Gdynia, Poland, 81-384
- Research Site
-
Katowice, Poland, 40-040
- Research Site
-
Lodz, Poland, 90-436
- Research Site
-
Lodz, Poland, 90-265
- Research Site
-
Lublin, Poland, 20-080
- Research Site
-
Szczecin, Poland, 70-332
- Research Site
-
Tarnow, Poland, 33-100
- Research Site
-
Warszawa, Poland, 04-141
- Research Site
-
Warszawa, Poland, 02-106
- Research Site
-
Wroclaw, Poland, 50-088
- Research Site
-
Wroclaw, Poland, 50-368
- Research Site
-
Wroclaw, Poland, 51-318
- Research Site
-
Wroclaw, Poland, 51-153
- Research Site
-
Wroclaw, Poland, 53-658
- Research Site
-
-
-
-
-
Coimbra, Portugal, 3000-075
- Research Site
-
Lisboa, Portugal, 1649-035
- Research Site
-
Porto, Portugal, 4200-319
- Research Site
-
Porto, Portugal, 4050
- Research Site
-
-
-
-
-
Madrid, Spain, 28006
- Research Site
-
-
AndalucÃ-a
-
Cordoba, AndalucÃ-a, Spain, 14004
- Research Site
-
Córdoba, AndalucÃ-a, Spain, 14004
- Research Site
-
Sevilla, AndalucÃ-a, Spain, 41009
- Research Site
-
-
Aragón
-
Alcañiz, Aragón, Spain, 44600
- Research Site
-
-
Baleares
-
Manacor, Baleares, Spain, 07500
- Research Site
-
-
Cataluña
-
Badalona, Cataluña, Spain, 08916
- Research Site
-
Barcelona, Cataluña, Spain, 08003
- Research Site
-
Barcelona, Cataluña, Spain, 08036
- Research Site
-
Barcelona, Cataluña, Spain, 08041
- Research Site
-
Barcelona, Cataluña, Spain, 08025
- Research Site
-
-
Comunidad Valenciana
-
Valencia, Comunidad Valenciana, Spain, 46014
- Research Site
-
-
Galicia
-
A Coruña, Galicia, Spain, 15001
- Research Site
-
-
Madrid
-
Alcorcon, Madrid, Spain, 28922
- Research Site
-
-
-
-
Alabama
-
Birmingham, Alabama, United States, 35233
- Research Site
-
-
Arizona
-
Tucson, Arizona, United States, 85710
- Research Site
-
-
Arkansas
-
Hot Springs, Arkansas, United States, 71913
- Research Site
-
-
California
-
Bakersfield, California, United States, 93309
- Research Site
-
Beverly Hills, California, United States, 90211
- Research Site
-
Irvine, California, United States, 92697
- Research Site
-
Los Angeles, California, United States, 90045
- Research Site
-
Los Angeles, California, United States, 90027
- Research Site
-
Sacramento, California, United States, 95816
- Research Site
-
San Diego, California, United States, 92123
- Research Site
-
San Diego, California, United States, 92103
- Research Site
-
Vista, California, United States, 92083
- Research Site
-
-
Colorado
-
Denver, Colorado, United States, 80210
- Research Site
-
Denver, Colorado, United States, 80239
- Research Site
-
Denver, Colorado, United States, 80209
- Research Site
-
-
Connecticut
-
New Haven, Connecticut, United States, 06511
- Research Site
-
-
Florida
-
Aventura, Florida, United States, 33180
- Research Site
-
Jacksonville, Florida, United States, 32216
- Research Site
-
Miami, Florida, United States, 33136
- Research Site
-
Pembroke Pines, Florida, United States, 33028
- Research Site
-
Tampa, Florida, United States, 33612
- Research Site
-
-
Georgia
-
Atlanta, Georgia, United States, 30342
- Research Site
-
Newnan, Georgia, United States, 30263
- Research Site
-
Snellville, Georgia, United States, 30078
- Research Site
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Research Site
-
Chicago, Illinois, United States, 60654
- Research Site
-
Skokie, Illinois, United States, 60077
- Research Site
-
-
Indiana
-
Carmel, Indiana, United States, 46032
- Research Site
-
Plainfield, Indiana, United States, 46168
- Research Site
-
South Bend, Indiana, United States, 46617
- Research Site
-
-
Kentucky
-
Louisville, Kentucky, United States, 40202
- Research Site
-
-
Louisiana
-
Lake Charles, Louisiana, United States, 70601
- Research Site
-
Lake Charles, Louisiana, United States, 70605
- Research Site
-
New Orleans, Louisiana, United States, 70112
- Research Site
-
-
Maryland
-
Rockville, Maryland, United States, 20850
- Research Site
-
Silver Spring, Maryland, United States, 20902
- Research Site
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Research Site
-
Boston, Massachusetts, United States, 02114
- Research Site
-
North Andover, Massachusetts, United States, 01845
- Research Site
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Research Site
-
-
Minnesota
-
Fridley, Minnesota, United States, 55432
- Research Site
-
-
Nebraska
-
Omaha, Nebraska, United States, 68144
- Research Site
-
-
Nevada
-
Henderson, Nevada, United States, 89074
- Research Site
-
-
New York
-
Brooklyn, New York, United States, 11209
- Research Site
-
New York, New York, United States, 10029
- Research Site
-
Rochester, New York, United States, 14625
- Research Site
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28210
- Research Site
-
Durham, North Carolina, United States, 27710
- Research Site
-
Raleigh, North Carolina, United States, 27612
- Research Site
-
Winston-Salem, North Carolina, United States, 27103
- Research Site
-
-
Ohio
-
Beachwood, Ohio, United States, 44122
- Research Site
-
Columbus, Ohio, United States, 43212
- Research Site
-
Gahanna, Ohio, United States, 43230
- Research Site
-
South Euclid, Ohio, United States, 44118
- Research Site
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Research Site
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, United States, 15213
- Research Site
-
-
South Carolina
-
Anderson, South Carolina, United States, 29621
- Research Site
-
Mount Pleasant, South Carolina, United States, 29464
- Research Site
-
-
Texas
-
Austin, Texas, United States, 78759
- Research Site
-
Dallas, Texas, United States, 75246
- Research Site
-
Houston, Texas, United States, 77065
- Research Site
-
San Antonio, Texas, United States, 78229
- Research Site
-
San Antonio, Texas, United States, 78249
- Research Site
-
-
Utah
-
West Jordan, Utah, United States, 84088
- Research Site
-
-
Virginia
-
Norfolk, Virginia, United States, 23502
- Research Site
-
Roanoke, Virginia, United States, 24016
- Research Site
-
-
Washington
-
Seattle, Washington, United States, 98101
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject has had stable moderate to severe plaque psoriasis for at least 6 months
- Subject has involved body surface area (BSA) ≥ 10%, PASI ≥ 12, and sPGA ≥ 3 at screening and at baseline
Exclusion Criteria:
- Subject diagnosed with erythrodermic psoriasis, pustular psoriasis, guttate psoriasis, medication-induced psoriasis, or other skin conditions at (eg, eczema) that would interfere with study evaluations
- Subject has known history of Crohn's disease
- Subject has any other significant concurrent medical condition or laboratory abnormalities, as defined in the study protocol
- Subject has not stopped using certain psoriasis therapies as defined in the study protocol
- Subject has previously used ustekinumab or any anti-IL-17 biologic therapy
- Subject is pregnant or breastfeeding, or planning to become pregnant while enrolled in the study
- Female subject is unwilling to use highly effective methods of birth control unless 2 years post-menopausal or surgically sterile
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 210 mg brodalumab
Administered by subcutaneous (SC) injection until week 12.
At week 12, participants are rerandomized to schedule 1, 2, 3, or 4.
|
210 mg brodalumab administered SC
|
|
Experimental: 140 mg brodalumab
Administered by subcutaneous (SC) injection until week 12.
At week 12, participants are rerandomized to schedule 1, 2, 3, or 4.
|
140 mg brodalumab administered SC
|
|
Active Comparator: ustekinumab
Administered by subcutaneous (SC) injection per the labeled dosing regimen.
|
45 mg or 90 mg ustekinumab administered SC per the labeled dosing regimen.
|
|
Placebo Comparator: Placebo
Administered by subcutaneous (SC) injection until week 12.
At week 12 participants are assigned to 210 mg brodalumab.
|
210 mg brodalumab administered SC
Placebo administered SC
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Static Physician Global Assessment (sPGA) Score Success (Score of 0 or 1) at Week 12
Time Frame: 12 weeks
|
Measures the physician's impression of the disease at a single point, and a dynamic form in which the physician assesses the global improvement from baseline.
Success is defined by a score of 0 or 1 (clear to almost clear).
|
12 weeks
|
|
Percentage of Participants With Psoriasis Area Severity Index (PASI) 75 at Week 12
Time Frame: 12 weeks
|
to evaluate the efficacy of Brodalumab (210mg every 2 weeks, and 140mg every 2 weeks) in subjects with moderate to severe plaque psoriasis, as measured by the proportion of subjects achieving 75% improvement in Psoriasis Area and Severity Index, PASI75 at week 12.
|
12 weeks
|
|
Percentage of Participants With Psoriasis Area Severity Index (PASI) 100 at Week 12
Time Frame: 12 Weeks
|
to evaluate the efficacy of Brodalumab (210mg Q2W) in clearing psoriasis as measured by the proportion of subjects achieving PASI 100 at week 12.
|
12 Weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Gottlieb A, Lebwohl M, Liu C, Israel RJ, Jacobson A. Malignancy Rates in Brodalumab Clinical Studies for Psoriasis. Am J Clin Dermatol. 2020 Jun;21(3):421-430. doi: 10.1007/s40257-020-00512-4.
- Kokolakis G, Vadstrup K, Hansen JB, Carrascosa JM. Increased Skin Clearance and Quality of Life Improvement with Brodalumab Compared with Ustekinumab in Psoriasis Patients with Aggravating Lifestyle Factors. Dermatol Ther (Heidelb). 2021 Dec;11(6):2027-2042. doi: 10.1007/s13555-021-00618-5. Epub 2021 Oct 2.
- McMichael A, Desai SR, Qureshi A, Rastogi S, Alexis AF. Efficacy and Safety of Brodalumab in Patients with Moderate-to-Severe Plaque Psoriasis and Skin of Color: Results from the Pooled AMAGINE-2/-3 Randomized Trials. Am J Clin Dermatol. 2019 Apr;20(2):267-276. doi: 10.1007/s40257-018-0408-z.
- Langley RG, Armstrong AW, Lebwohl MG, Blauvelt A, Hsu S, Tyring S, Rastogi S, Pillai R, Israel R. Efficacy and safety of brodalumab in patients with psoriasis who had inadequate responses to ustekinumab: subgroup analysis of two randomized phase III trials. Br J Dermatol. 2019 Feb;180(2):306-314. doi: 10.1111/bjd.17318. Epub 2018 Dec 27.
- Lebwohl M, Strober B, Menter A, Gordon K, Weglowska J, Puig L, Papp K, Spelman L, Toth D, Kerdel F, Armstrong AW, Stingl G, Kimball AB, Bachelez H, Wu JJ, Crowley J, Langley RG, Blicharski T, Paul C, Lacour JP, Tyring S, Kircik L, Chimenti S, Callis Duffin K, Bagel J, Koo J, Aras G, Li J, Song W, Milmont CE, Shi Y, Erondu N, Klekotka P, Kotzin B, Nirula A. Phase 3 Studies Comparing Brodalumab with Ustekinumab in Psoriasis. N Engl J Med. 2015 Oct;373(14):1318-28. doi: 10.1056/NEJMoa1503824.
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20120103
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.